Organization
AGRA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE THOMAS (PHARMACIST)
(718) 583-2535
Entity
Organization
Contact information
Practice address
1575 BATHGATE AVE, AGRA PHARMACY INC, BRONX, NY 10457-8216
(718) 583-2535
Mailing address
1575 BATHGATE AVE, AGRA PHARMACY INC, BRONX, NY 10457-8216
(718) 583-2535
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
024599
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02058973
—
NY
Enumeration date
12/18/2006
Last updated
09/18/2009
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